DEPARTMENT OF HEALTH AND SENIOR SERVICES DIVISION OF AGING AND COMMUNITY SERVICES PO BOX 807 TRENTON, N.J 08625-0807 JON S CORZINE www.nj.gov/health Governor FRED M JACOBS, M.D., J.D Commissioner Dear Colleague: Do you know that 70% of the physical decline associated with aging is due to poor lifestyle behaviors? Less than half of the nation's communities are currently developing strategies to deal with the needs of the elderly, whose ranks will swell dramatically with the aging of the baby boomers Expanding disease prevention and health promotion opportunities for older adults can lessen the impact of chronic disease and other illnesses, disabling injuries, and long-term health care costs Older adults of any age can and learn to make healthy behaviors that can improve their quality of life The Blueprint for Healthy Aging in New Jersey is designed to help you and your community take steps to help older adults stay healthy and active by providing: • • • County-level demographics on older adults and their health status; Information on the benefits of healthy behaviors that can improve the quality of life for seniors, public policy recommendations and strategies for containing health care costs; and Examples of cost-effective New Jersey-based model programs that can be implemented locally to support older adults in pursuing healthy behaviors You and your community can make a difference by increasing awareness of the benefits of healthy behaviors, and fostering an environment to support behaviors among older adults by: • • • • Supporting your county office on aging as a central point for seniors to obtain health promotion/disease prevention information Providing comprehensive, coordinated services to help seniors remain independent in their own homes and communities for as long as possible Utilizing low-cost programs proven to be effective in reducing the risk of disease, disability and injury among the elderly Using existing resources in more cost-effective ways to improve the quality of life of seniors After you have reviewed the Blueprint, please take a few minutes to let us know how you plan to use the information on the enclosed feedback form Sincerely, Fred M Jacobs, M.D., J.D Commissioner Blueprint for Healthy Aging in New Jersey Table of Contents Blueprint for Healthy Aging in New Jersey Committee ……………………………….….i Acknowledgements ……………………………………………………………………….ii Executive Summary …………………………………………………………………… iii Section I The Benefits of Healthy Behaviors for New Jersey Seniors The Case for Promoting Healthy Behaviors ……………………………… ……1 Physical Activity ……………………………………………………… ……… Good Nutrition ………………………………………………………………… 12 Health Screenings and Vaccinations …………………………………………….16 Mental Health and Socialization ……………………………………………… 22 Substance Abuse ……………………………………………………………… 26 Section II Model Health Promotion Programs for New Jersey Seniors Model Programs ……………………………………………………… ……….31 Physical Activity Programs …………………………………………………… 33 Nutrition Programs …………………………………………………………… 38 Chronic Disease Management Programs ……………………………………… 40 Coordinated Screening Programs ……………………………………………….42 Health Education Programs …………………………………………………… 43 Mental Health and Socialization Programs …………………………………… 45 Substance Abuse Programs …………………………………………………… 46 Section III County-Level Tables – Older Adult Demographics and Health Status Data and Methodology ……………………………………………….……… 48 Table Physical Activity, Nutrition/Obesity ………………………………….49 Table Health Status ………………………………………………….……….50 Table Preventive Screenings …………………………………………………51 Table Cholesterol and Blood Pressure Screenings ………………………… 52 Table Pneumonia and Influenza Vaccination ……………………………… 53 Table Tobacco and Alcohol Use …………………………………………… 54 Table Disability Status ……………………………………………………….55 Table Projected 60+ Population Increase ……………………………………56 References ………………………………………………………………………………57 Blueprint for Healthy Aging in New Jersey COMMITTEE MEMBERS Yunqing Li, NJDHSS - Center for Health Statistics Joanne P Robinson, Acting Chair, NJ Commission on Aging, Rutgers University School of Arts & Science, Dept of Nursing Mary Ann Orapello, Wayne Health Department Pam Basehore, Co-Chair Health Promotion Subcommittee, NJ Institute for Successful Aging – University of Medicine and Dentistry of New Jersey – School of Osteopathic Medicine (UMDNJ-SOM) Natalie Pawlenko, NJDHSS - Office of Public Health Infrastructure Sister Mary Simon Robb, Diocese of Trenton Andrea Brandsness, social worker, Ocean County Dorothy Wahlers, American Cancer Society John Wanat, Monmouth County Division of Aging, Disabilities and Veterans Internment Affairs Claire DiVito, NJ Institute for Successful Aging - UMDNJ-SOM Diane Friedberg, Sussex County Office on Aging Martin T Zanna, Physician Specialist, NJDHSS Dwight Gerdes, Ocean County Health Department NJDHSS Division of Aging and Community Services Staff: Jose Gonzalez, NJ Department of Health & Senior Services (NJDHSS) Office of Minority and Multicultural Health Lisa Bethea Sue Lachenmayr Gerry Mackenzie Dennis McGowan Debra Griffith, NJDHSS - Office of Public Health Infrastructure -i- ACKNOWLEDGEMENT Thank you to Yunqing Li, PHD, Kenneth O’Dowd, PHD, and Loretta Kelly of the Center for Health Statistics, New Jersey Department of Health and Senior Services (NJ DHSS) and Sen-Yuan Wu of the New Jersey Department of Labor and Workforce Development for development of county-specific maps, charts and tables We are also grateful to the members of the New Jersey Commission on Aging Health Promotion Subcommittee for their work in the development and oversight of the Blueprint project And a very special thank you to all the community-based agencies who provided information about effective model programs and the seniors from every county in New Jersey who shared their personal successes in practicing healthy behaviors Funding for the Blueprint for Healthy Aging in New Jersey was provided through a Senior Opportunity Grant from the National Association of Chronic Disease Directors - ii - EXECUTIVE SUMMARY Research reveals that 70% of the physical decline associated with aging is due to poor lifestyle behaviors The risk and burden of chronic disease in New Jersey is directly linked to poor lifestyle choices, including a lack of physical activity, poor nutrition and the failure to have recommended screenings and immunizations The state’s rapidly growing older adult population, projections of continued increases in life expectancy, and the escalating cost of care underscore the critical need to assist individuals to maintain good health as late into life as possible Expanding disease prevention and health promotion opportunities for older adults is one of the few avenues available to address the looming impact of chronic disease and other illnesses, disabling injuries, and long-term health care costs People who engage in healthy behaviors by such means as being physically active, eating a healthy diet, and abstaining from alcohol and tobacco products show substantially reduced risk of chronic disease and have half the rate of disability compared with those who not practice healthy behaviors.1 Despite the benefits of health-promoting behaviors, New Jersey’s seniors rank among the bottom third of all states in terms of utilization of key health screenings2 and there is significant disparity in health status among diverse populations Older New Jerseyans also fall short of recommended national and state guidelines for physical activity and nutrition This Blueprint for Healthy Aging in New Jersey includes data that can be used to plan, implement and evaluate health promotion initiatives The Blueprint is designed to: 1) foster an environment in which public, private and community-based health and aging providers work cooperatively to support healthy behaviors among older adults; and 2) prevent or delay onset and improve management of chronic disease among New Jersey’s older adult population through low-cost, effective health promotion programs The Blueprint provides New Jersey county-level data on older adult health behaviors available herein for the first time The maps, charts and tables will help you develop policies and programs to have the greatest impact on the health of seniors in your community County Data Overview When reviewing county data, we encourage you to look broadly at each health area, such as physical activity and good nutrition (obesity and fruit/vegetable intake), health screenings (blood pressure, cholesterol, prostate and mammography) and immunizations (influenza and pneumococcal), and mental health and substance abuse (smoking and binge drinking) Rather than focusing on just one table or chart, using the data in each of these broad health areas will allow you to identify behavior trends, potential access issues, or gaps in service Behavioral Risk Factor Surveillance System (BRFSS) survey responses from 2003-2005 for New Jersey adults aged 60 years and older were utilized to obtain county-level prevalence data for health and mental health status; physical activity and good nutrition; health screenings - iii - and immunizations; and substance abuse The BRFSS has been broadly validated at the national level At the county level, the data is somewhat less reliable since the number of people responding is much smaller This is especially true for more rural counties and for indicators that are gender-specific Population Projected Increase and Disability Status o The population aged 60 years and over represented 17.2% of the New Jersey population in the year 2000 It is projected to increase 58% from 2000 to 2025 and grow to be 23.2% of the population by 2025 The counties that show the greatest projected increase include Hunterdon (140%), Sussex (121%), Somerset (95%), Morris (95%), and Gloucester (88%) o Approximately 36% of the statewide non-institutionalized population aged 60 years and over claimed a disability in 2000 Four counties had more than 40% of the population aged 60+ years claiming a disability (Cumberland, Hudson, Salem, and Essex) Health and Mental Health Status o An overall indicator of seniors’ health is self-reported health status An estimated 26% of older New Jerseyans reported their general health as fair or poor, and 20% reported poor mental health in the past 30 days Hudson County had the largest proportion of seniors reporting fair or poor health (40%), followed by Union, Essex, and Passaic Counties More than 25% of seniors in four counties (Warren, Salem, Middlesex and Essex) reported having poor mental health in the past 30 days Physical Activity and Good Nutrition o In New Jersey, an estimated 33% of seniors reported engaging in no leisure-time physical activity Hudson County had the largest proportion of seniors with no leisure-time physical activity (45%), followed by Cumberland, Gloucester, Passaic, and Warren Counties, all at 40% o An estimated 63% of people aged 60 years and older in New Jersey were considered either overweight or obese The prevalence of overweight and obesity was highest in Warren (72%) and Cumberland Counties (70%), followed by Ocean, Gloucester, and Atlantic Counties o The consumption of five fruits and vegetables a day is a proxy measure for good nutrition Approximately 69% of New Jersey seniors reported eating less than five fruits and vegetables per day Hudson, Gloucester, Camden, and Cumberland Counties had more than 70% of older people consuming less than five fruits and vegetables daily - iv - Health Screenings and Immunizations This Blueprint includes estimates for people aged 60 and older, however, it is important to note that in New Jersey, 17% of individuals in the 60-64 age range are uninsured, so they not have the same access to health screenings as seniors aged 65 and older who have Medicare coverage.3 o Overall, approximately 8% of seniors had not had their blood cholesterol checked in the past five years It was estimated that the number of seniors not having their blood cholesterol checked exceeded 10% in four counties (Hudson, Cumberland, Union, and Essex) o About 52% of older New Jerseyans reported they have high blood pressure The prevalence of high blood pressure was highest in Ocean, Sussex, Essex County, Atlantic, and Warren Counties o Nearly 46% of New Jersey seniors aged 60 and older reported receiving no pneumonia vaccination Hudson and Salem Counties had more than 51% of older adults not receiving a pneumonia shot Note: Adults aged 60-64 are not in the “high risk” category for immunization against pneumococcal pneumonia unless they happen to be diabetic, asthmatic or have certain other chronic conditions o An estimated 42% of seniors in New Jersey did not receive a flu shot in the past year Nearly half the seniors in Hudson, Essex, Union, and Salem Counties did not receive a flu shot o About 34% of women did not have a clinical breast exam and mammogram in the past two years In Warren, Cape May, Sussex and Camden Counties, around 40% of women did not receive a clinical breast exam and mammogram in the past two years o Approximately 24% of older men in New Jersey did not have a prostate cancer screening in the past two years Hudson County showed the highest estimated percentage (37%) of older men who did not have this screening test among all counties Substance Abuse – Smoking and Binge Drinking o An estimated 11% of New Jersey seniors reported that they smoke Smoking prevalence was highest (15%) in Cumberland and Salem Counties o About 4% of older adults in New Jersey reported binge drinking in the past month -v- Section I The Benefits of Healthy Behaviors For New Jersey Seniors BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY THE CASE FOR PROMOTING HEALTHY BEHAVIORS “Every year for the next 20 years, 50,000 people in New Jersey will turn 60.”4 Dr Fred Jacobs, Commissioner, New Jersey Department of Health and Senior Services New Jersey senior citizens are living longer and are more diverse today than ever before Our challenge, both as community leaders and as aging individuals ourselves, is to actively help seniors practice healthy behaviors New Jersey ranks 9th in the nation in the number of seniors aged 65 or older It is the nation’s most densely populated state (at 1,134 persons per square mile) and is also one of the three most ethnically diverse states in the nation, with more than one in four persons speaking a language other than English at home Today, nearly one in five older New Jerseyans is either African-American, Latino or Asian Disparity in health status is evidenced by the 16-year difference in healthy life expectancy at birth between white females (69.6 years) and AfricanAmerican males (53.9 years).5 NJ OLDER ADULT POPULATION Map Proportion of county population aged 60 years and over in New Jersey, 2003 SUSSEX 13.7 PASSAIC 15.9 BERGEN 19.8 MORRIS 16.9 WARREN 16.8 ESSEX 15.7 HUDSON 15.2 UNION 17.4 HUNTERDON 15.9 Percent SOMERSET 15.0 MIDDLESEX 15.9 13.7 - 15.9 16.0 - 16.9 MERCER 16.3 17.0 - 17.9 MONMOUTH 16.9 18.0 - 25.8 BURLINGTON 17.0 CAMDEN 16.4 GLOUCESTER 15.7 SALEM 18.9 ATLANTIC 17.6 CUMBERLAND 16.7 CAPE MAY 25.8 Source: National Center for Health Statistics and U.S Census Bureau -1- OCEAN 25.7 BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Keeping Your Memory Healthy –New Vitality (PASSAIC COUNTY) This interactive program focuses on how seniors can lead a healthy lifestyle and remain independent A facilitator discusses alcohol use and misuse of medications and how these practices may diminish cognitive performance The program encourages older adults to make informed judgments Participants receive a special form to list their medication, emergency contact information, insurance, and allergies Other handouts include: Questions to Ask a Doctor or Pharmacist; Safe Use of Alcohol and Medications: Tips for Older Adults; and Prevention and Treatment of Mental Health Problems Among Older Adults Additional referral and on-site consulting are included (For more information contact Joan Beloff, Chilton Memorial Hospital 973-831-5167, joan_beloff@chiltonmemorial.org) “I am a senior who is independent and I plan to keep my independence by being active I attend several programs that help me physically and mentally,” Fay, age 78, Wayne (Passaic County) - 47 - Section III County-Level Tables Older Adult Demographics and Health Status BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY DATA AND METHODOLOGY The major dataset used for this report is the New Jersey Behavioral Risk Factor Survey Partially funded by the Centers for Disease Control and Prevention (CDC), the New Jersey Behavioral Risk Factor Survey is a component of the national Behavioral Risk Factor Surveillance System (BRFSS) The BRFSS is an ongoing, state based, random-digit-dialed telephone survey that collects self-reported health information from a representative sample of the civilian, noninstitutionalized U.S population aged 18 and over This report displays countylevel weighted estimates for New Jersey people aged 60 years and older Because estimates based on small sample sizes tend to have larger standard errors and be unreliable, in order to minimize the impact of small sample sizes on the quality of the estimates, New Jersey BRFSS surveys 2003-2005 were combined to yield county-specific prevalence data on a series of health risk factors County-level estimates that were obtained from samples with less than 100 observations were marked with asterisks, implying relatively large standard errors - 48 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Physical Activity, Nutrition/Obesity Table Health behaviors/Risk factors of persons age 60 years and older, percentages from the New Jersey BRFSS weighted data, 2003-2005 Geographic name Overweight or obese No leisure time physical activity in last 30 days Consuming less than servings of fruits and vegetable daily a Sample size Percent Sample size Percent Sample size Percent 11,048 62.8 11,536 32.8 7,686 69.2 423 65.9 437 36.6 315 68.6 1,076 58.7 1,124 27.2 704 66.6 Burlington 573 65.2 605 32.4 377 70.6 Camden 588 62.0 611 33.6 375 73.0 Cape May 417 66.7 431 29.0 320 67.2 Cumberland 247 69.6 254 40.1 184 72.3 Essex 710 60.3 732 32.2 483 65.4 Gloucester 423 66.4 441 40.0 313 77.0 Hudson 463 64.5 483 44.7 335 77.4 Hunterdon 249 55.2 265 25.9 206 64.5 Mercer 466 61.3 488 29.5 316 69.0 Middlesex 758 60.8 793 31.3 505 68.6 Monmouth 712 60.9 744 27.4 468 69.4 Morris 657 62.8 693 28.1 461 66.6 Ocean 1,116 69.1 1,171 34.8 707 71.5 Passaic 523 64.5 548 39.8 383 67.9 Salem 145 54.8 152 33.8 114 67.6 Somerset 407 57.4 425 28.8 302 63.8 Sussex 318 61.3 330 29.5 258 69.0 Union 495 60.8 515 36.7 323 67.3 Warren 282 72.4 294 39.6 237 70.5 New Jersey Atlantic Bergen a This question was asked in 2003 and 2005 only The estimates were derived from two-year data - 49 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Health Status Table Percentage of persons age 60 years and older reporting poor health status, New Jersey BRFSS weighted data, 2003-2005 Fair or poor general health Geographic name Poor mental health in the past 30 days Sample size Percent Sample size Percent 11,462 26.4 11,923 20 436 27.3 449 21.4 1,115 19.6 1,167 17.5 Burlington 605 21.3 616 18.4 Camden 608 29.1 623 20.9 Cape May 427 21.5 445 19.5 Cumberland 252 30.0 252 16.0 Essex 724 32.0 762 24.5 Gloucester 438 24.1 442 18.5 Hudson 478 40.4 501 19.3 Hunterdon 264 18.5 278 17.9 Mercer 486 28.2 510 21.5 Middlesex 787 28.3 839 25.3 Monmouth 741 22.5 775 18.2 Morris 686 17.4 724 17.2 Ocean 1,165 28.2 1,184 21.0 Passaic 545 32.0 566 20.6 Salem 150 28.1 151 25.6 Somerset 422 20.9 455 18.8 Sussex 329 24.3 336 19.8 Union 513 32.7 544 15.0 Warren 291 28.3 304 27.1 New Jersey Atlantic Bergen - 50 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Preventive Screenings Table Preventive screening tests of persons age 60 years and older, percentages from the New Jersey BRFSS weighted data, 2003-2005 Geographic name New Jersey No clinical breast examination and mammogram within the past years Sample size Percent No PSA test for screening prostate cancer within the past years Sample size Percent 6,738 34.3 3,716 23.5 Atlantic 245 34.8 151 24.7 Bergen 657 33.8 386 20.6 Burlington 346 30.6 207 18.5 Camden 389 39.0 169 26.4 Cape May 250 40.5 123 15.6 Cumberland 141 36.4 86 34.6* Essex 430 34.5 228 27.6 Gloucester 242 36.5 141 32.3 Hudson 279 36.7 151 37.1 Hunterdon 161 24.5 78 16.0* Mercer 294 33.7 145 20.3 Middlesex 486 31.7 253 26.1 Monmouth 419 33.3 252 18.5 Morris 404 31.4 245 16.6 Ocean 693 33.0 390 22.8 Passaic 322 35.9 176 23.9 Salem 79 39.3* 53 26.9* Somerset 31.3 132 19.0 186 39.2 101 25.9 Union 290 36.5 169 26.8 Warren • 251 Sussex 174 41.8 80 26.3* Relatively large standard error (sample size < 100) - 51 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Cholesterol and Blood Pressure Screenings Table Cholesterol and blood pressure checks for persons age 60 years and older, percentages from the New Jersey BRFSS weighted data, 2003-2005 Geographic name New Jersey No Cholesterol checked by a health professional within the past years Sample size Percent Have high blood pressure Sample size Percent 9,373 7.7 10,088 52.4 Atlantic 374 7.8 393 56.3 Bergen 894 7.0 962 48.6 Burlington 491 7.1 519 48.9 Camden 493 8.6 516 53.7 Cape May 366 5.3 385 52.7 Cumberland 209 11.3 225 52.4 Essex 597 10.6 650 56.5 Gloucester 363 6.7 381 52.0 Hudson 396 14.4 432 54.9 Hunterdon 231 6.4 257 44.8 Mercer 399 5.5 433 53.6 Middlesex 626 6.7 691 50.7 Monmouth 581 7.9 630 51.5 Morris 558 5.0 599 48.2 Ocean 900 5.7 960 56.6 Passaic 452 8.4 493 53.2 Salem 131 5.8 139 49.4 Somerset 356 6.5 391 49.7 Sussex 292 4.4 308 56.6 Union 404 10.9 447 52.6 Warren 260 6.2 277 56.0 - 52 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Pneumonia and Influenza Vaccination Table Percentage of persons age 60 years and older who did not receive pneumococcal vaccinations and influenza vaccinations, New Jersey BRFSS weighted data, 2003-2005 Geographic name New Jersey Never had a pneumonia shot Sample size Percent No flu shot in the last 12 months Sample size Percent 11,182 46.0 12,143 41.7 426 43.3 457 41.6 1,081 50.4 1,188 43.4 Burlington 589 35.1 624 36.5 Camden 598 37.7 634 43.0 Cape May 415 44.1 447 41.0 Cumberland 248 51.5 260 45.5 Essex 706 54.0 782 48.9 Gloucester 425 41.2 454 32.2 Hudson 460 63.9 510 53.3 Hunterdon 260 41.3 284 40.3 Mercer 470 39.6 516 35.5 Middlesex 771 44.3 860 37.9 Monmouth 717 46.9 786 41.1 Morris 668 50.4 735 36.0 Ocean 1,150 38.9 1,208 37.5 Passaic 529 51.0 577 44.6 Salem 148 50.9 157 48.8 Somerset 416 40.6 461 40.8 Sussex 323 51.3 343 45.6 Union 492 51.3 553 48.7 Warren 290 38.7 307 43.0 Atlantic Bergen - 53 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Tobacco and Alcohol Use Table Percentage of persons age 60 years and older who consume tobacco and alcohol, New Jersey BRFSS weighted data, 2003-2005 Current smoker Geographic name Binge drinking in the past 30 days Sample size Percent Sample size Percent 12,124 10.7 12,043 4.3 453 13.4 449 4.7 1,189 9.8 1,181 4.5 Burlington 626 8.0 621 4.9 Camden 630 12.5 631 3.0 Cape May 447 11.7 445 5.4 Cumberland 260 15.0 259 2.0 Essex 782 12.2 775 4.3 Gloucester 450 13.0 447 4.3 Hudson 510 13.5 505 4.3 Hunterdon 285 8.7 283 3.2 Mercer 513 10.1 511 3.5 Middlesex 860 8.9 853 4.3 Monmouth 786 11.8 783 5.0 Morris 734 8.5 724 4.4 Ocean 1,204 11.7 1,194 3.8 Passaic 579 7.4 574 5.3 Salem 156 15.0 154 4.2 Somerset 459 7.1 456 3.6 Sussex 342 9.6 338 3.1 Union 554 10.9 553 5.5 Warren 305 12.2 307 5.8 New Jersey Atlantic Bergen - 54 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Disability Status Table Type of disability for the noninstitutionalized population aged 60+ years by county, New Jersey, 2000 Disability Status Type of Disability No Geographic name New Jersey With any With With With With self- With go- disability disability sensory physical mental care outside-home disability disability disability disability disability 893,895 498,380 141,265 317,130 111,730 105,040 244,895 Atlantic 26,375 16,790 4,910 11,410 3,985 3,825 7,830 Bergen 115,000 52,805 14,895 32,040 11,835 11,615 26,820 Burlington 44,880 22,245 6,480 14,470 4,555 4,015 9,825 Camden 50,035 30,110 8,425 19,880 6,995 5,820 14,635 Cape May 16,590 8,850 2,495 5,925 1,655 1,495 3,820 Cumberland 12,945 10,290 3,075 6,970 2,760 2,395 4,970 Essex 72,115 47,875 11,990 29,920 11,530 10,715 24,685 Gloucester 23,860 14,465 4,080 9,610 3,055 3,005 6,850 Hudson 51,250 39,315 10,360 24,525 9,460 8,730 21,460 Hunterdon 11,560 4,585 1,600 2,800 1,070 1,055 2,195 Mercer 34,605 19,940 5,420 12,760 4,275 4,430 9,560 Middlesex 75,640 40,665 11,925 25,575 9,165 8,515 20,740 Monmouth 65,320 31,850 9,380 20,750 6,610 6,870 15,080 Morris 50,170 21,105 5,985 12,950 4,440 4,225 9,770 Ocean 83,820 47,210 14,570 30,735 9,170 9,160 21,215 Passaic 45,440 29,330 7,980 18,230 7,310 6,370 15,460 Salem 6,720 4,690 1,410 3,035 1,075 905 2,140 Somerset 29,020 12,465 3,795 7,670 2,650 2,485 5,975 Sussex 11,375 5,985 1,990 4,000 1,405 1,380 2,715 Union 57,120 31,655 8,695 19,655 7,345 6,805 16,125 Warren 10,045 6,160 1,795 4,220 1,410 1,230 3,000 Note: Sensory disability refers to blindness, deafness, or a severe vision or hearing impairment; physical disability refers to a long-lasting condition that substantially limits one or more basic physical activities, such as walking, climbing stairs, reaching, lifting, or carrying; mental disability refers to a condition lasting months or more that made it difficult to learn, remember, or concentrate; self-care disability refers to a condition lasting months or more that made it difficult to perform activities such as dressing, bathing, or getting around inside the home; going outside the home disability refers to a condition lasting months or more that made it difficult to go outside the home alone to shop or visit a doctor’s office Universe: Civilian noninstitutionalized population 60 years and over Source: Census 2000 Special Tabulation on Aging - 55 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY Projected 60+ Population Increase Table Projected increase in population aged 60+ years by county, New Jersey, 2000-2025 Geographic name New Jersey Atlantic Bergen Burlington Camden Cape May Cumberland Essex Gloucester Hudson Hunterdon Mercer Middlesex Monmouth Morris Ocean Passaic Salem Somerset Sussex Union Warren Population in 2000 Projected population in 2025 Projected increase in percent 1,443,782 2279700 57.9 44,781 73200 63.5 173,897 248700 43.0 70,008 118000 68.6 82,197 129300 57.3 26,234 30100 14.7 24,726 36800 48.8 125,044 188400 50.7 38,931 73300 88.3 92,226 134300 45.6 16,780 40200 139.6 57,089 87600 53.4 119,933 185600 54.8 100,503 178700 77.8 73,933 143900 94.6 136,367 183400 34.5 77,267 122900 59.1 12,013 18400 53.2 44,289 86400 95.1 18,247 40300 120.9 92,422 129500 40.1 16,895 30500 80.5 - 56 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY REFERENCES Healthy Aging: Preventing Disease and Improving Quality of Life Among Older Americans, 2002 Centers for Disease Control and Prevention The State of Aging and Health in America 2004 Merck Institute of Aging and Health, Centers for Disease Control and Prevention, Gerontological Society of America, 2004 Profile of NJ Older Adults Aged 60+ Years, 2005 NJ Department of Health and Senior Services - Center for Health Statistics, http://www.state.nj.us/health/senior/documents/strategic_plan/strategic_plan.pdf Fred Jacobs, MD, JD, Commissioner, NJ Department of Health and Senior Services, 2006 Aging Baby Boomers – Ready or Not, Here They Come NJ Department of Health and Senior Services New Jersey State Strategic Plan on Aging 2005-2008 NJ Department of Health and Senior Services – Division of Aging and community Services http://www.state.nj.us/health/senior/documents/strategic_plan/strategic_plan.pdf National Governor’s Association, Investing in America’s Health, 2006 Mensah www.nga.org/ Kaiser Family State Health Facts, 2007 http://www.statehealthfacts.org/cgi-bin/healthfacts Older Americans 2004: Key Indicators of Well-Being, 2004 Government Printing Office, Washington DC Leading Causes of Death by Age Group, New Jersey 2002, NJ Department of Health and Senior Services - Center for Health Statistics, http://nj.gov/health/chs/index.html 10 Healthy Days: Measuring the Health Related Quality of Life, New Jersey, 2003 NJ Department of Health and Senior Services - Center for Health Statistics http://nj.gov/health/chs/healthydays_0905.pdf 11 New Jersey Survey of County-Specific Trends and Gaps in Services for Older Adults, 2006 NJ Department of Health and Senior Services – Division of Aging and Community Services 12 Live Well, Live Long Issue Brief 1: Health Promotion for Older Adults: Meeting the Challenges of the Future, 2006 The American Society on Aging, www.asaging.org/cdc 13 Healthy New Jersey 2010, 2001 and Healthy New Jersey 2010 Update NJ Department of Health and Senior Services - Center for Health Statistics, http://nj.gov/health/chs/hnj.htm - 57 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY 14 Using the Evidence Base to Promote Healthy Aging, 2004 The National Council on Aging Issue Brief Number 1: 2004 15 Improving the Health of Older Adults: Roles for State Health Departments, 2004 National Association of Chronic Disease Directors 16 The Council of State Governments State Official’s Guide to Wellness – A Healthy States Initiative, 2004 http://www.healthystates.csg.org/ 17 I-Min Lee, Harvard Medical School, 2003 Seventh Annual American College of Sports Medicine Health & Fitness Summit & Exposition keynote, Reno Nevada 18 Lee Y and Park K, Health Practices That Predict Recovery from Functional Limitations in Older Adults, 2006 American Journal of Preventive Medicine, 0749-2797/06 19 Physical Activity and Good Nutrition, 2005 CDC, NCCDPHP 20 A New Vision of Aging: Helping Older Adults Make Healthier Choices Center for the Advancement of Health, 2006 Washington DC 21 A Profile of Older Americans: 2005 US Department of Health and Human Services, Administration on Aging 22 Fatalities and Injuries from Falls Among Older Adults – United States, 1993 – 2003 and 2001 – 2005 MMWR Weekly, November 17, 2006/55(45); 1221-1224 23 Burge RT et al., 2001 The Cost of Osteoporosis in New Jersey: Projections for 2000-2025, Procter and Gamble Pharmaceutical 24 Falls Free: Promoting a National Falls Prevention Action Plan, 2005 Center for Healthy Aging, National Council on the Aging, www.ncoa.org 25 The State of Aging and Health in America 2007 Centers for Disease Control and Prevention and the Merck Company Foundation, www.cdc.gov/aging 26 AoA Elderly Nutrition Program, 2007 http://www.aoa.dhhs.gov/press/fact/pdf/fs_nutrition.pdf 27 The Maturing of America – Getting communities on Track for an Aging Population, 2005 National Association of Area Agencies on Aging, International City/County Management Association, National Association of Counties, National League of Cities and Partners for Livable Communities 28 Kuczmarski MF, Weddle DO, 2005 Position paper of the American Dietetic Association: nutrition across the spectrum of aging, Journal of the American Dietetic Association, 105(4):616-33 - 58 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY 29 The Role of Nutrition in Maintaining/Improving Older Adult Health, 2006 White Paper, NJ Department of Health and Senior Services – Division of Aging and Community Services 30 Mokdad, Ali H., Marks, J.S., Stroup, D.F., Gerberding, J.L “Actual Causes of Death in the United States, 2000.” JAMA 291(2004):1238-1245 31 Finkelstein, EA, Fiebelkorn, IC and Wang, G, 2004 “National Medical Spending Attributable to Overweight and Obesity: How Much and Who is Paying?” Health Affairs 32 The Health Risks of Obesity Worse Than Smoking, Drinking, or Poverty Rand Corporation, 2005, http://www.rand.org/pubs/research_briefs/RB4549/index1.html 33 Gerberding, JL Healthy Aging: Preventing Disease and Improving the Quality of Life among Older Americans Centers for Disease Control and Prevention, http://www.cdc.gov/nccdphp/publications/aag/aging_text.htm 34 Preventive Services, Medicare, 2006 The Official Site Government Site for People with Medicare, http://www.medicare.gov/Health/Overview.asp 35 Pocket Guide to Clinical Preventive Services, 2006 Preventive Services Task Force, http://www.ahcpr.gov/clinic/uspstfix.htm 36 Kaiser Commission on Medicaid and the Uninsured, 2005 Medicaid Enrollment and Spending Trends, Kaiser Family Foundation 37 Influenza and Pneumocococcal Vaccination Coverage Among Person Aged >65 Year – United States, 2004-2005 MMWR Weekly, October 6, 2006/55(39); 1065-1068 38 Breast Cancer Facts and Figures 2003-2004 American Cancer Society 39 The Burden of Cancer in New Jersey: New Jersey Comprehensive Cancer Control Plan, 2002 N J Department of Health and Senior Services - Center for Health Statistics, 2002 http://nj.gov/health/ccp/ccc_plan.htm 40 Mental Health: A Report of the U.S Surgeon General, 1999 Department of Health and Human Services, U.S Public Health Service http://www.surgeongeneral.gov/library/mentalhealth/home.html 41 Bartels, S, Blow F, Brockmann, L and Van Citters, A Substance Abuse and Mental Health Among Older Americans: The State of the Knowledge and Future Directions, 2005 Substance Abuse and Mental Health Services Administration 42 Older Americans and Substance Abuse, 2006 Dr Lisa Patton, Director, Older American Substance Abuse and Mental Health Technical Assistance Center, Substance Abuse and Mental Health Services Administration - 59 - BLUEPRINT FOR HEALTHY AGING IN NEW JERSEY 43 Older Adult Consumers’ Mental Health Alliance, 2007 http://www.oacmha.com 44 Suicide Results from the New Jersey Violent Death Reporting System, 2006 NJ Department of Health and Senior Services – Center for Health Statistics http://www.state.nj.us/health/chs/oisp/documents/njvdrs_suicide_06.pdf 45 Substance Abuse Among Older Adults, 2007 Older American Substance Abuse and Mental Health Technical Assistance Center, Substance Abuse and Mental Health Services Administration http://ncadi.samhsa.gov/govpubs/BKD250/26d.aspx 46 Substance Use Among Older Adults: 2002 and 2003 Update, The National Survey on Drug Use and Health Report, 2005 Office of Applied Studies, Substance Abuse and Mental Health Services Administration 47 U.S Department of Health and Human Services The Health Consequences of Smoking: A Report of the Surgeon General, 2004 U.S Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health 48 The Drug and Alcohol Services Information System Report: Older Adults in Substance Abuse Treatment Update, 2005 SAMHSA Office of Applied Studies, www.oas.samhsa.gov - 60 - ... County Health Department NJDHSS Division of Aging and Community Services Staff: Jose Gonzalez, NJ Department of Health & Senior Services (NJDHSS) Office of Minority and Multicultural Health Lisa... Department of Health and Senior Services (NJ DHSS) and Sen-Yuan Wu of the New Jersey Department of Labor and Workforce Development for development of county-specific maps, charts and tables We are... disability (Cumberland, Hudson, Salem, and Essex) Health and Mental Health Status o An overall indicator of seniors’ health is self-reported health status An estimated 26% of older New Jerseyans